Grow the Game Grant
Grow the Game Grant
1. General Applicant Information Program Name (if different):
E
Organization Name:
Position/Title:
SA
City:
M
Mailing Address:
PL
Contact Name:
State:
Phone:
Additional Contact Name:
Title:
Zip:
Email:
Title:
Email:
PL
E
Phone:
2. Please check which USTA Missouri Valley District you are located * Heart of America Iowa Kansas
M
Missouri Nebraska
Oklahoma
SA
St. Louis
3. Have you met with and discussed this program with your local TSR (Tennis Service Representative) or Missouri Valley staff? * Yes
No - Please contact your Local TSR (Contact Info Below)
4. USTA Organization Membership Information Note: USTA Organization Membership MUST be current. If your organization is not a USTA Member or the Membership has expired, please call Membership Services at 1-800-990-8782. *
E
USTA Organization Member Number:
M
PL
5. Please provide a brief explanation of your organization or program specific to the tennis program you are requesting funding for: *
6. What area will your program include (please check all that apply): * Youth Imperative (6-12 age group)
SA
Junior Development (Play Days, USTA Junior Team Tennis, Entry Level Tournaments, Middle School High School Players) Program Opportunities for Millennials (18-40)
7. Ability Level of Participants (Please check all that apply) * Beginner Intermediate Advanced
8. Program & Participant Details *
E
Tournament Level
PL
Program Start Date:
Program End Date:
Days Per Week:
Hours Per Day:
M
Years in Existence:
SA
Estimated Number of participants in tennis program: # of past Participants: Location of Program:
9. Previous USTA Funding: *
Has your organization/program ever received any National Grant dollars?
Yes No
E
Has your organization/program ever received any Section Grant dollars?
Yes No
PL
Has your organization/program ever received any District Grant dollars?
Yes No
SA
M
10. Please explain how your grant will be used and provide a brief explanation for need for funding support: *
11. Please provide brief summary of any community partners that you are collaborating with on this program: *
E
12. Please describe strategies for sustaining this effort. List any additional funding source outlets: *
SA
M
PL
13. Please provide us with your overall goal for your tennis program and objectives for meeting these goals: *
14. Annual Tennis funding sources and amounts: Please report the dollar amount next to each source of funding that is applicable for the tennis program. For sources that are not applicable, you must enter $0 in each field. * Membership Income: $
Foundations: $ Corporations: $
PL
Service Organizations: $
E
Participant Fees: (# participants x fee =): $
Fundraising Events: $ Local Sponsorships: $
In-kind Support: $
M
Earned Income: $
SA
Total Income: $
15. Please report all tennis program expenses: Expense may include, but are not limited to, instructor/organizer wages, equipment, court/facility rental, marketing/promotional materials. For expenses that are not applicable, you must enter $0 in each field. * Court/Facility Rental Fee: $
Marketing/Promotion: $ Equipment: $
PL
Other: $
E
Instructor/Coach Stipend: $
Total Expenses: $
M
16. Total Grant Request: Please provide the total dollar amount requested by using the following formula: Total Expenses - Total Income = Total Grant requested
SA
* Note: The maximum amount awarded by the USTA Missouri Valley Serving Up Tennis Grant is $1000). * Total Expenses: $
Total Income: $
Total Grant Requested: $
SA
M
PL
E
17. Additional Comments:
1. General Applicant Information Program Name (if different):
E
Organization Name:
Position/Title:
SA
City:
M
Mailing Address:
PL
Contact Name:
State:
Phone:
Additional Contact Name:
Title:
Zip:
Email:
Title:
Email:
PL
E
Phone:
2. Please check which USTA Missouri Valley District you are located * Heart of America Iowa Kansas
M
Missouri Nebraska
Oklahoma
SA
St. Louis
3. Have you met with and discussed this program with your local TSR (Tennis Service Representative) or Missouri Valley staff? * Yes
No - Please contact your Local TSR (Contact Info Below)
4. USTA Organization Membership Information Note: USTA Organization Membership MUST be current. If your organization is not a USTA Member or the Membership has expired, please call Membership Services at 1-800-990-8782. *
E
USTA Organization Member Number:
M
PL
5. Please provide a brief explanation of your organization or program specific to the tennis program you are requesting funding for: *
6. What area will your program include (please check all that apply): * Youth Imperative (6-12 age group)
SA
Junior Development (Play Days, USTA Junior Team Tennis, Entry Level Tournaments, Middle School High School Players) Program Opportunities for Millennials (18-40)
7. Ability Level of Participants (Please check all that apply) * Beginner Intermediate Advanced
8. Program & Participant Details *
E
Tournament Level
PL
Program Start Date:
Program End Date:
Days Per Week:
Hours Per Day:
M
Years in Existence:
SA
Estimated Number of participants in tennis program: # of past Participants: Location of Program:
9. Previous USTA Funding: *
Has your organization/program ever received any National Grant dollars?
Yes No
E
Has your organization/program ever received any Section Grant dollars?
Yes No
PL
Has your organization/program ever received any District Grant dollars?
Yes No
SA
M
10. Please explain how your grant will be used and provide a brief explanation for need for funding support: *
11. Please provide brief summary of any community partners that you are collaborating with on this program: *
E
12. Please describe strategies for sustaining this effort. List any additional funding source outlets: *
SA
M
PL
13. Please provide us with your overall goal for your tennis program and objectives for meeting these goals: *
14. Annual Tennis funding sources and amounts: Please report the dollar amount next to each source of funding that is applicable for the tennis program. For sources that are not applicable, you must enter $0 in each field. * Membership Income: $
Foundations: $ Corporations: $
PL
Service Organizations: $
E
Participant Fees: (# participants x fee =): $
Fundraising Events: $ Local Sponsorships: $
In-kind Support: $
M
Earned Income: $
SA
Total Income: $
15. Please report all tennis program expenses: Expense may include, but are not limited to, instructor/organizer wages, equipment, court/facility rental, marketing/promotional materials. For expenses that are not applicable, you must enter $0 in each field. * Court/Facility Rental Fee: $
Marketing/Promotion: $ Equipment: $
PL
Other: $
E
Instructor/Coach Stipend: $
Total Expenses: $
M
16. Total Grant Request: Please provide the total dollar amount requested by using the following formula: Total Expenses - Total Income = Total Grant requested
SA
* Note: The maximum amount awarded by the USTA Missouri Valley Serving Up Tennis Grant is $1000). * Total Expenses: $
Total Income: $
Total Grant Requested: $
SA
M
PL
E
17. Additional Comments:
